Injection of cipaglucosidase alfa, 5 mg at Aurora Medical Center Summit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, cipaglucosidase, 5 mg

Summit, WI

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How this price compares nationally

Aurora Medical Center Summit’s median price of $109 is 8% above the median hospital's median price ($101), higher than 56% of the 1,115 hospitals reporting HCPCS J1203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1203 at Aurora Medical Center Summit

Negotiated rates from the hospital’s own file: 6 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare charter fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
2	UnitedHealthcare exchange fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
3	UnitedHealthcare hmo fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
4	UnitedHealthcare nexus fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
5	Anthem blue priority fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
6	Aetna hmo fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
7	Healthpartners employee trust fund fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
8	Anthem blue preferred fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
9	Healthpartners robin fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
10	Cigna ppo-gppo fee schedule · outpatient	$134	$134	—	—	—	$134 – $134
11	Molina commercial fee schedule · outpatient	$218	$218	—	—	—	$218 – $218

Last updated: Nov 21, 2025

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